Rehabilitation and chronic care最新文献_第10页

The sound of anxiety: exploring the effect of audio recordings of breathing on self-reported breathlessness 焦虑的声音:探索呼吸录音对自我报告的呼吸困难的影响

Rehabilitation and chronic care Pub Date : 2021-09-05 DOI: 10.1183/13993003.congress-2021.oa165

N. Lovell, S. Etkind, Wendy Prentice, Irene J. Higginson, K. Sleeman

引用次数: 1

Aerobic Training Improves Pulmonary and Systemic Inflammatory and Fibrotic Response in Asthmatics 有氧训练改善哮喘患者肺部和全身炎症和纤维化反应

Rehabilitation and chronic care Pub Date : 2021-09-05 DOI: 10.1183/13993003.congress-2021.oa2935

R. Moraes Ferreira, M. A. R. Brandao-Rangel, A. Silva-Reis, Thiago G Gibson-Alves, Helida C Aquino-Santos, Victor H Souza-Palmeira, Claudio R Frison, R. P. Vieira

引用次数: 0

Effects of a NMES program in exercise capacity of hospitalized severely hypoxemic COPD patients NMES计划对住院严重低氧COPD患者运动能力的影响

Rehabilitation and chronic care Pub Date : 2021-09-05 DOI: 10.1183/13993003.congress-2021.pa317

A. Calvache Mateo, L. Lopez Lopez, Janet Remedios Rodríguez Torres, I. Torres Sánchez, María Granados Santiago, A. Conde Valero, M. Valenza

引用次数: 0

Effectiveness of multi-disciplinary community respiratory team management of chronic respiratory illness during the COVID-19 pandemic COVID-19大流行期间慢性呼吸道疾病多学科社区呼吸团队管理效果分析

Rehabilitation and chronic care Pub Date : 2021-09-05 DOI: 10.1183/13993003.congress-2021.oa2938

Emma Johnson, Emily Turner, S. Gingles, K. Levin, Elaine Mackay, C. Roux, M. Milligan, Marion Mackie, Kirsten Farrell, K. Murray, S. Adams, J. Brand, H. Bayes, David F. Anderson

引用次数: 0

What should Pulmonary Rehabilitation (PR) look like for adults living with post-TB lung disease (PTBLD) in Kyrgyzstan? A qualitative study 吉尔吉斯斯坦成人结核后肺病(PTBLD)患者的肺部康复(PR)应该是什么样的?定性研究

Rehabilitation and chronic care Pub Date : 2021-09-05 DOI: 10.1183/13993003.congress-2021.pa1986

G. Mirzalieva, M. Mademilov, Zainab K Yusuf, M. Orme, C. Bourne, A. Jones, Ruhme B. Miah, A. Akylbekov, Rupert C Jones, A. Barton, D. Malcolm, T. Sooronbaev, Sally J. Singh

引用次数: 1

Internet access and usage in patients with chronic respiratory disease 慢性呼吸道疾病患者的互联网接入和使用

Rehabilitation and chronic care Pub Date : 2020-09-07 DOI: 10.1183/13993003.congress-2020.84

O. Polgar, C. Nolan, R. Barker, S. Patel, J. Walsh, W. Man

{"title":"Internet access and usage in patients with chronic respiratory disease","authors":"O. Polgar, C. Nolan, R. Barker, S. Patel, J. Walsh, W. Man","doi":"10.1183/13993003.congress-2020.84","DOIUrl":"https://doi.org/10.1183/13993003.congress-2020.84","url":null,"abstract":"Background: Digital technologies provide an opportunity to support the health needs of people living with chronic respiratory disease (CRD). However, there is limited information on digital literacy levels. Aim: To determine day-to-day use of the internet in patients with CRD. Method: A survey of consecutive outpatients attending a general respiratory clinic. Patients with COPD, asthma, bronchiectasis or interstitial lung disease were included. Results: Demographic characteristics: 57 women:40 men; mean age 72.9 (±8.6); 74% with COPD. Most of those surveyed had access to a mobile phone (86%) used primarily for calls and texting; only 8% used their phone to access the internet. Access to other digital devices were more heterogeneous (tablet 31%, laptop 29%, PC 16%). 53% reported feeling not confident or needing help with accessing the internet. 49% accessed the internet daily, primarily to read the news (28%) or use email (26%). Only 10% said they used the internet to access healthcare information. Age and sex were not associated with confidence or frequency of internet use (Figure 1). Conclusion: There is wide variability in accessibility and confidence in using the internet in people with chronic respiratory disease. This needs to be taken into account when designing digital health interventions for this patient group.","PeriodicalId":275802,"journal":{"name":"Rehabilitation and chronic care","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115799902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Late Breaking Abstract - The weekly recovery of physical capacities in COVID-19 patients during post-extubation pulmonary rehabilitation 摘要- COVID-19患者拔管后肺部康复期间每周体能恢复情况

Rehabilitation and chronic care Pub Date : 2020-09-07 DOI: 10.1183/13993003.congress-2020.938

Yara Al Chikhanie, S. Vergès, F. Hérengt, D. Veale

{"title":"Late Breaking Abstract - The weekly recovery of physical capacities in COVID-19 patients during post-extubation pulmonary rehabilitation","authors":"Yara Al Chikhanie, S. Vergès, F. Hérengt, D. Veale","doi":"10.1183/13993003.congress-2020.938","DOIUrl":"https://doi.org/10.1183/13993003.congress-2020.938","url":null,"abstract":"Some COVID-19 patients develop a severe form of the disease requiring intubation and admission to the intensive care unit (ICU). We aim to evaluate the recovery of the walking ability during pulmonary rehabilitation (PR) post-extubation. We evaluated patients with severe COVID-19 during PR using weekly six-minute walking tests. We measured the walking distance (6MWD), oxygen saturation (SpO2) and dyspnea. 17 COVID-19 patients (10 male, 7 female) with an average age of 70±11 years old were admitted to the Dieulefit Sante PR center. All had at least one of the following comorbidities: cardiovascular, COPD, diabetes or cancer, and mean BMI was 27±6 Kg/m2. On average, they spent 22±7 days in ICU and 12±8 days in the pulmonary ward before enrolling in PR. This graph shows the weekly 6MWD evolution.\u0000 On average, PR lasted 21±8 days, 6MWD increased from 16±16% to 43±21% of theoretical values. A strong negative correlation existed between the number of days post-extubation before PR, and the gain in 6MWD. Patients showed severe desaturation (SpO2 nadir 85±5 %) despite oxygen supply (4±1 L/min) but modest dyspnea (4±2). Patients had a significant recovery early post-extubation but left PR with a significant impairment in 6MWD. Patients who spent less time bedridden between ICU and PR, recovered faster. These results show the importance of PR in patients post COVID-19, the sooner and the longer, the better.","PeriodicalId":275802,"journal":{"name":"Rehabilitation and chronic care","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130429505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Implication of regular pulmonary function evaluation in Duchenne muscular dystrophy 杜氏肌营养不良患者定期肺功能评估的意义

Rehabilitation and chronic care Pub Date : 2020-06-19 DOI: 10.21203/rs.3.rs-36561/v1

J. Lee, Seong-Woong Kang, Eun Young Kim, W. Choi

{"title":"Implication of regular pulmonary function evaluation in Duchenne muscular dystrophy","authors":"J. Lee, Seong-Woong Kang, Eun Young Kim, W. Choi","doi":"10.21203/rs.3.rs-36561/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-36561/v1","url":null,"abstract":"\u0000 Background\u0000\u0000Various factors are considered when determining the need to initiate noninvasive ventilation (NIV), for example hypoventilatory symptoms, forced vital capacity (FVC), maximal inspiratory pressure (MIP), and end-tidal carbon dioxide. We aim to reveal the clinical importance of regular pulmonary function evaluation before the initiation of NIV by comparing Duchenne muscular dystrophy (DMD) patients with and without regular medical surveillance.\u0000Methods\u0000\u0000This retrospective study analyzes successful applications of NIV in our pulmonary rehabilitation center. We assigned 200 DMD patients, hospitalized between June 2006 and August 2019, to one of two groups, according to their follow-up status before NIV initiation. Group 1 (n = 102) had been followed-up regularly via the outpatient clinic at least twice a year. Group 2 (n = 98) was hypercapnic, either at the first visit, or re-visit after having missed the outpatient clinic appointment for more than one year.\u0000Results\u0000\u0000Significantly more patients were admitted via emergency room in group 2 (2.0% in group 1 and 28.6% in group 2). The patients’ age was higher in group 2 (18.3 ± 3.7 years in group and 21.2 ± 4.8 years in group 2). Ventilatory status evaluated by arterial blood gas analysis and transcutaneous continuous monitoring was better in group 1 than that of group 2. And all measures of pulmonary function, including FVC, peak cough flow, MIP, maximal expiratory pressure, and ventilatory status, were superior in group 1, too.\u0000Conclusions\u0000\u0000Regular follow-up before the onset of ventilatory insufficiency is crucial for the timely application of NIV, and appropriate NIV can exert a preventive effect on respiratory function deterioration.","PeriodicalId":275802,"journal":{"name":"Rehabilitation and chronic care","volume":"383 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129136638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Increased Myostatin as a Negative Regulator of Muscle Regeneration Potential in Sarcopenic COPD Patients: Clinical Implications 肌萎缩性慢阻肺患者肌肉再生潜能负调节肌生长抑制素增加:临床意义

Rehabilitation and chronic care Pub Date : 2020-05-01 DOI: 10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a7541

Antonio Sancho Muñoz, M. Guitart, D. Rodriguez, J. Gea, Juana Martínez Llorens, Esther Barreiro Portela

{"title":"Increased Myostatin as a Negative Regulator of Muscle Regeneration Potential in Sarcopenic COPD Patients: Clinical Implications","authors":"Antonio Sancho Muñoz, M. Guitart, D. Rodriguez, J. Gea, Juana Martínez Llorens, Esther Barreiro Portela","doi":"10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a7541","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a7541","url":null,"abstract":"Whether a deficiency in muscle repair and regeneration may exist in the lower limb muscles of COPD patients remains debatable. We hypothesized that the negative regulator myotastin may inhibit muscle regeneration potential in sarcopenic COPD patients. In vastus lateralis (VL) of control subjects and severe COPD patients with and without sarcopenia, satellite cells (SC) were identified (immunofluorescence, anti-Pax7 and anti-myf5): activated (Pax7+ and myf5+), quiescent/regenerative potential (Pax7+ and myf-5-), and total SC, nuclear activation (TUNEL assay), and muscle fiber type (morphometry, hybrid fibers), muscle damage, muscle regeneration markers (Pax7, myf-5, myogenin, and myoD), and myostatin levels were identified. Compared to control subjects and normal body composition COPD, in the VL of sarcopenic COPD patients, myostatin protein levels, activated SC, hybrid fibers, TUNEL-positive cells, internal nuclei, and total abnormal fraction were significantly increased, while quadriceps muscle strength, numbers of Pax7+ and myf-5- and slow- and fast-twitch muscle fiber areas decreased. In VL of sarcopenic and non-sarcopenic COPD patients, TUNEL-positive cell counts were greater, whereas expression of muscle regeneration markers was lower than in controls. Myostatin may have interfered with the process of muscle cell proliferation early on during the regeneration process, thus leading to poor muscle growth and development following injury in COPD patients with sarcopenia. This may be another relevant mechanism of muscle mass loss in COPD. Method: CIBERES, FIS 18/00075 (FEDER), SEPAR 2018, and unrestricted grant from Menarini SA 2018.","PeriodicalId":275802,"journal":{"name":"Rehabilitation and chronic care","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117256584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Heterogeneity of Danish lung choirs and their singing leaders – a study of performance, experiences, and attitudes in an emerging field 丹麦肺唱诗班和他们的歌唱领袖的异质性-在一个新兴领域的表现，经验和态度的研究

Rehabilitation and chronic care Pub Date : 2019-11-21 DOI: 10.1183/13993003.congress-2019.pa3957

M. Kaasgaard, I. Andersen, P. Vuust, O. Hilberg, A. Loekke, Uffe Boedtger

引用次数: 0